Provider Demographics
NPI:1427498740
Name:JAMROZEK, AGNIESZKA (DMD)
Entity type:Individual
Prefix:
First Name:AGNIESZKA
Middle Name:
Last Name:JAMROZEK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 UNION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1420
Mailing Address - Country:US
Mailing Address - Phone:973-728-3779
Mailing Address - Fax:973-728-1881
Practice Address - Street 1:1807 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1420
Practice Address - Country:US
Practice Address - Phone:973-728-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02541500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist